RED EYE
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Transcript of RED EYE
RED EYERED EYE
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The Red EyeDifferential Diagnosis
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Differential Diagnosis of “red eye”
ConjunctivaConjunctiva Pupil Pupil CorneaCornea Anterior Anterior ChamberChamber
Intra Intra Ocular Ocular PressurePressure
SubconjucntivSubconjucntival al hemorrhagehemorrhage
Bright RedBright Red NormalNormal NormalNormal NormalNormal NormalNormal
ConjunctivitisConjunctivitis Injected Injected vesselsvessels, , DischargeDischarge
NormalNormal NormalNormal NormalNormal NormalNormal
IritisIritis Injected Injected around around corneacornea
Small Small fixed fixed irregularirregular
pupilpupil
NormalNormal TurgidTurgid
DeepDeepNormalNormal
Acute Acute glaucomaglaucoma
Entire eye Entire eye redred
Fixed Fixed dilated dilated pupilpupil
HazyHazy ShallowShallow HighHigh
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Conjunctivitis
FolliclesPapillae Purulent discharge
ChemosisRedness
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Subconjunctival Haemorrhage
Diffuse or localised area of Diffuse or localised area of blood under conjunctiva. blood under conjunctiva. AsymptomaticAsymptomatic
Idiopathic, trauma, cough, Idiopathic, trauma, cough, sneezing, aspirin, HTsneezing, aspirin, HT
Resolves within 10-14 daysResolves within 10-14 days
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Dry Eye Syndrome
Poor quality Poor quality Meibomian gland disease,Acne rosaceaMeibomian gland disease,Acne rosacea Lid relatedLid related Vitamin A deficiencyVitamin A deficiency
Poor quantityPoor quantity Kerato Conjunctivitis SiccaKerato Conjunctivitis Sicca
Sjogren SyndromeSjogren Syndrome Rheumatoid ArthritisRheumatoid Arthritis
Lachrymal disease ie, SarcoidosisLachrymal disease ie, Sarcoidosis Paralytic ie, VII CN palsyParalytic ie, VII CN palsy
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Corneal Abrasion
Surface epithelium sloughed off. Surface epithelium sloughed off. Stains with fluoresceinStains with fluoresceinUsually due to traumaUsually due to traumaPain, FB sensation, tearing, red eyePain, FB sensation, tearing, red eye
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Corneal Ulcer
InfectionInfection Bacterial: Adnexal infection, lid malposition, Bacterial: Adnexal infection, lid malposition,
dry eye, CLdry eye, CL Viral: Viral: HSV, HZOHSV, HZO Fungal:Fungal: Protozoan: Protozoan: Acanthamoeba Acanthamoeba in CL wearerin CL wearer
Mechanical or traumaMechanical or trauma Chemical: Chemical: Alkali injuries are worse than acid Alkali injuries are worse than acid
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Episcleritis
SuperficialSuperficialIdiopathic, collagen Idiopathic, collagen
vascular disorder (RA)vascular disorder (RA)Asymptomatic, mild painAsymptomatic, mild painSelf-limiting or topical Self-limiting or topical
treatmenttreatment
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Scleritis
Deep Deep IdiopathicIdiopathicCollagen vascular disease (RA,AS, SLE, Wegener, PAN) Collagen vascular disease (RA,AS, SLE, Wegener, PAN) Zoster Zoster SarcoidosisSarcoidosisDull, deep pain wakes patient at nightDull, deep pain wakes patient at nightSystemic treatment with NSAI or Prednisolone if severeSystemic treatment with NSAI or Prednisolone if severe
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Uveitis
Anterior:Anterior: acute recurrent and chronicacute recurrent and chronic
Posterior: Posterior: vitritis, retinal vasculitis, vitritis, retinal vasculitis, retinitis, retinitis, choroiditischoroiditis
Panuveitis:Panuveitis: anterior and posterioranterior and posterior
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Anterior uveitis (iritis)
Photophobia, red eye, decreased visionPhotophobia, red eye, decreased visionIdiopathic. CommonestIdiopathic. CommonestAssociated to systemic diseaseAssociated to systemic disease
Seronegative arthropathies:AS, IBD, Psoriatic Seronegative arthropathies:AS, IBD, Psoriatic arthritis, Reiter’s arthritis, Reiter’s
Autoimmune: Sarcoidosis, BehcetsAutoimmune: Sarcoidosis, Behcets Infection: Shingles, Toxoplasmosis, TB, Infection: Shingles, Toxoplasmosis, TB,
Syphillis, HIVSyphillis, HIV
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KPs
Fibrin
Posterior synechiae
Hypopyon
Ciliary flush
Flare
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Acute Angle-closure Glaucoma
SymptomsSymptoms Pain, headache, Pain, headache,
nausea-vomitingnausea-vomiting Redness, Redness,
photophobia, photophobia, Reduced visionReduced vision Haloes around Haloes around
lightslights
Corneal oedema
Ciliary hyperaemiaDilated pupil
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GLAUCOMA
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CATARACT
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CATARACT